Users play a key role in many training strategies, yet some organizations often fail to
understand the users’ perception after a simulation training implementation, their attitude
about acceptance or rejection of and integration of emerging simulation technology in
medical training (Gaba, 2007, and Topol, 2012). Several factors are considered to
contribute to the acceptance level of simulation training by the users, including cost, the
existing training and certification policies, technical issue, realism of training, values of
it, concerns about it, and its effect on the patients outcome, and medical errors (Clever,
2011and Dawson, 2006).An often overlooked factor in the success of a simulation
training merger is the impact on the users and medical profession (Dickemen, 2007). This
qualitative phenomenological research study explored the lived experiences of a
purposeful sampling of medicals simulation training users in the decision and none
decision making roles, who had been involved in simulation training at least for one year.
The study obtained their perceptions, their lived experiences, feelings associated with the
experience, and interactions. And then how those feelings, perception, opinions, attitudes,
and interactions evolved. Data suggested that the presence of feelings attached to
experience, preconceived views, existing training policies, affect the level of
effectiveness, users’ view of its outlook, impact on the decisions, and the medical
profession. In addition the users’ perception, beliefs, and feelings all affect the
interpersonal dynamics, interactions, communications, of simulation training users during
adoption of simulation technology and its implementation. Understanding the medical
simulation training phenomena through the understanding of users’ perspective can
redefine how they communicate, interact, share, learn in simulated environment , and
from one another that help with the subsequent additions and modifications to the
existing simulation training strategies.

To my parents, who always stood behind me and knew I would succeed. Gone now but
never forgotten. I will miss them always and love them forever. Thanks for all you did. This
work is dedicated to them. And to my husband, best friend, and supporter Wayne Green, who
provided unconditional love and support throughout this journey, always, encouraged me, and
had to listen to me for more than three years to talk about finishing my doctoral program.

Acknowledgements:

I want to thank my mentor, Dr. Marlyn L. Dickey, for putting up with all my problems,
procrastination, always providing insightful coaching in the development process, and
completion of this dissertation. She was always there to provide valuable feedback and
suggestion. The word thanks will not do the justice for your efforts to help finish this work. I
would also like to thank my committee members Dr. Scharbrenia Lockhart, Dr. Mohammad
Sharifzadeh for their timely feedbacks, valuable insights, support, input, throughout dissertation
completion process. The level of professionalism in communication demonstrated by my mentor
and committee members was exceptional. I am grateful for your understanding and
professionalism. I thank Dr. A. Khan, Dr. D. Edwerbine, Dr. K .Verma, Dr. L. Walden, and Dr.
P. Dickman, Dr. R. Traynor, colleagues at Gippsland Audiology Services, Moh and Nazila
Dadafarin of Ear and Hearing for their continual support, suggestions through the doctoral
program , and dissertation completion process. I like to extent my appreciation for the help and
support I received from C, Garfias my academic advisor for over three years and C. Moneke at
the final process of my doctoral program. The special thanks go to the participants’ of this study
who generously provided me with their valuable time. I thank my siblings and their families for
their love and support, special thanks to my nephew Moh-Darvish for inspiring me. I am in debt
to my beloved mother in-law Molly Green for her unconditional motherly love and support I
wish she was here to see me graduate, and to my encouraging brother in-law Herbert Green, for
his continued cheerleading and encouragement.